Male Death Registration: Year: 1971 number: 7667
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007667
1. PLACE OF DEATH County of Pictou If in City or Town Pictou
3. PRINT NAME OF DECEASED Heighton, Keith David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 29, 1960
10. AGE in Years11 Months Days8 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Keith Heighton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Yvonne Wallace
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Keith Heighton
address 31 Poplar St. Pictou
Relationship to deceased Father
21. Place of burial Haliburton, Pictou
Date of burial December 9, 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 7, 1971
CAUSE OF DEATH
(a) Pulumbrea
(b) Mental retardation with spacitidity
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499739
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